Clinical effectiveness of monocanalicular silicone intubation for congenital nasolacrimal duct obstruction under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct

Ji Yun Han, Hwa Lee, Minwook Chang, Minsoo Park, Joon Sik Lee, Se Hyun Baek

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: To evaluate the cause of nasolacrimal duct obstruction through confirmation by nasal endoscopic findings of Hasner's valve and to report the success rate of monocanalicular silicone intubation (MCI) for the management of congenital nasolacrimal duct obstruction (CNLDO). Methods: Seventy-seven eyes of 56 patients with CNLDO underwent MCI under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct at the Korea University Ansan Hospital and Guro Hospital from October 2008 to March 2013. The following demographic information was analyzed: age, sex, endoscopic findings of Hasner's valve during operation, complications, and outcomes. The main outcome measures were disappearance of epiphora symptoms beginning the first 2 months after removal of the silicone tube. The silicone tube was removed under topical anesthesia in the office between 2 and 3 months, postoperatively. Results: The mean (±SD) age of the study population was 29.8 (±26.9) months (range: 6 months to 12 years). Under nasal endoscopic view, 45 ducts (58.4%) had a thin membranous obstruction or had a simple stenotic opening of Hasner's valve. Seven ducts (9.1%) had thick obstructing membranes with probe passage under the lateral nasal mucosa. Twenty-three ducts (29.9%) showed the probe tip protruding through balloon-like nasal mucosa. Two ducts (2.6%) appeared to have probe protrusion through a stretchable valve. The overall success rate was 89.6% (69/77). The incidence of tube prolapse and tube loss was 18.2% (14 eyes) and 13.0% (10 eyes), respectively. No other complications were observed. Conclusions: Monocanalicular silicone intubation under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct can be an effective procedure for the management of CNLDO.

Original languageEnglish
Pages (from-to)1328-1331
Number of pages4
JournalJournal of Craniofacial Surgery
Volume26
Issue number4
DOIs
Publication statusPublished - 2015 Jun 1

Fingerprint

Nasolacrimal Duct
Nasal Obstruction
Silicones
Intubation
Nose
Nasal Mucosa
Lacrimal Apparatus Diseases
Prolapse
Korea
Anesthesia
Demography
Outcome Assessment (Health Care)
Membranes
Incidence
Population

Keywords

  • Congenital nasolacrimal duct obstruction
  • Monocanalicular intubation
  • Nasal endoscopic visualization
  • Type of the terminal end of the obstructed nasolacrimal duct

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

@article{9eff171bcf6a4154b9514ba2426b6d04,
title = "Clinical effectiveness of monocanalicular silicone intubation for congenital nasolacrimal duct obstruction under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct",
abstract = "Purpose: To evaluate the cause of nasolacrimal duct obstruction through confirmation by nasal endoscopic findings of Hasner's valve and to report the success rate of monocanalicular silicone intubation (MCI) for the management of congenital nasolacrimal duct obstruction (CNLDO). Methods: Seventy-seven eyes of 56 patients with CNLDO underwent MCI under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct at the Korea University Ansan Hospital and Guro Hospital from October 2008 to March 2013. The following demographic information was analyzed: age, sex, endoscopic findings of Hasner's valve during operation, complications, and outcomes. The main outcome measures were disappearance of epiphora symptoms beginning the first 2 months after removal of the silicone tube. The silicone tube was removed under topical anesthesia in the office between 2 and 3 months, postoperatively. Results: The mean (±SD) age of the study population was 29.8 (±26.9) months (range: 6 months to 12 years). Under nasal endoscopic view, 45 ducts (58.4{\%}) had a thin membranous obstruction or had a simple stenotic opening of Hasner's valve. Seven ducts (9.1{\%}) had thick obstructing membranes with probe passage under the lateral nasal mucosa. Twenty-three ducts (29.9{\%}) showed the probe tip protruding through balloon-like nasal mucosa. Two ducts (2.6{\%}) appeared to have probe protrusion through a stretchable valve. The overall success rate was 89.6{\%} (69/77). The incidence of tube prolapse and tube loss was 18.2{\%} (14 eyes) and 13.0{\%} (10 eyes), respectively. No other complications were observed. Conclusions: Monocanalicular silicone intubation under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct can be an effective procedure for the management of CNLDO.",
keywords = "Congenital nasolacrimal duct obstruction, Monocanalicular intubation, Nasal endoscopic visualization, Type of the terminal end of the obstructed nasolacrimal duct",
author = "Han, {Ji Yun} and Hwa Lee and Minwook Chang and Minsoo Park and Lee, {Joon Sik} and Baek, {Se Hyun}",
year = "2015",
month = "6",
day = "1",
doi = "10.1097/SCS.0000000000001713",
language = "English",
volume = "26",
pages = "1328--1331",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Clinical effectiveness of monocanalicular silicone intubation for congenital nasolacrimal duct obstruction under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct

AU - Han, Ji Yun

AU - Lee, Hwa

AU - Chang, Minwook

AU - Park, Minsoo

AU - Lee, Joon Sik

AU - Baek, Se Hyun

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Purpose: To evaluate the cause of nasolacrimal duct obstruction through confirmation by nasal endoscopic findings of Hasner's valve and to report the success rate of monocanalicular silicone intubation (MCI) for the management of congenital nasolacrimal duct obstruction (CNLDO). Methods: Seventy-seven eyes of 56 patients with CNLDO underwent MCI under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct at the Korea University Ansan Hospital and Guro Hospital from October 2008 to March 2013. The following demographic information was analyzed: age, sex, endoscopic findings of Hasner's valve during operation, complications, and outcomes. The main outcome measures were disappearance of epiphora symptoms beginning the first 2 months after removal of the silicone tube. The silicone tube was removed under topical anesthesia in the office between 2 and 3 months, postoperatively. Results: The mean (±SD) age of the study population was 29.8 (±26.9) months (range: 6 months to 12 years). Under nasal endoscopic view, 45 ducts (58.4%) had a thin membranous obstruction or had a simple stenotic opening of Hasner's valve. Seven ducts (9.1%) had thick obstructing membranes with probe passage under the lateral nasal mucosa. Twenty-three ducts (29.9%) showed the probe tip protruding through balloon-like nasal mucosa. Two ducts (2.6%) appeared to have probe protrusion through a stretchable valve. The overall success rate was 89.6% (69/77). The incidence of tube prolapse and tube loss was 18.2% (14 eyes) and 13.0% (10 eyes), respectively. No other complications were observed. Conclusions: Monocanalicular silicone intubation under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct can be an effective procedure for the management of CNLDO.

AB - Purpose: To evaluate the cause of nasolacrimal duct obstruction through confirmation by nasal endoscopic findings of Hasner's valve and to report the success rate of monocanalicular silicone intubation (MCI) for the management of congenital nasolacrimal duct obstruction (CNLDO). Methods: Seventy-seven eyes of 56 patients with CNLDO underwent MCI under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct at the Korea University Ansan Hospital and Guro Hospital from October 2008 to March 2013. The following demographic information was analyzed: age, sex, endoscopic findings of Hasner's valve during operation, complications, and outcomes. The main outcome measures were disappearance of epiphora symptoms beginning the first 2 months after removal of the silicone tube. The silicone tube was removed under topical anesthesia in the office between 2 and 3 months, postoperatively. Results: The mean (±SD) age of the study population was 29.8 (±26.9) months (range: 6 months to 12 years). Under nasal endoscopic view, 45 ducts (58.4%) had a thin membranous obstruction or had a simple stenotic opening of Hasner's valve. Seven ducts (9.1%) had thick obstructing membranes with probe passage under the lateral nasal mucosa. Twenty-three ducts (29.9%) showed the probe tip protruding through balloon-like nasal mucosa. Two ducts (2.6%) appeared to have probe protrusion through a stretchable valve. The overall success rate was 89.6% (69/77). The incidence of tube prolapse and tube loss was 18.2% (14 eyes) and 13.0% (10 eyes), respectively. No other complications were observed. Conclusions: Monocanalicular silicone intubation under nasal endoscopic visualization of the terminal end of the obstructed nasolacrimal duct can be an effective procedure for the management of CNLDO.

KW - Congenital nasolacrimal duct obstruction

KW - Monocanalicular intubation

KW - Nasal endoscopic visualization

KW - Type of the terminal end of the obstructed nasolacrimal duct

UR - http://www.scopus.com/inward/record.url?scp=84986551035&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84986551035&partnerID=8YFLogxK

U2 - 10.1097/SCS.0000000000001713

DO - 10.1097/SCS.0000000000001713

M3 - Article

C2 - 26080187

AN - SCOPUS:84986551035

VL - 26

SP - 1328

EP - 1331

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 4

ER -